MEDICARE: ALBERT CORRIERI JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1477222198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT CORRIERI JR.

Provider Business Mailing Address
First Line	:	7127 HOLLISTER AVE STE 25A
Second Line	:	BOX 202
City	:	GOLETA
State	:	CA
Zip	:	93117-2857
Country	:	US
Telephone Number	:	805-214-4354
Fax Number	:

Provider Business Practice Location Address
First Line	:	629 STATE ST STE 203B
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-7071
Country	:	US
Telephone Number	:	805-214-4354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	12/11/2025

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